Provider Demographics
NPI:1386835254
Name:WEINGARTEN, FRANKLIN S (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:S
Last Name:WEINGARTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:19250 SW 65TH AVE
Mailing Address - Street 2:STE 265
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7452
Mailing Address - Country:US
Mailing Address - Phone:503-692-3110
Mailing Address - Fax:503-612-6835
Practice Address - Street 1:19250 SW 65TH AVE
Practice Address - Street 2:STE 265
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7452
Practice Address - Country:US
Practice Address - Phone:503-692-3110
Practice Address - Fax:503-612-6835
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR11593207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORC94049Medicare UPIN
OR138738Medicare PIN